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Septic Site Evaluation 555-19-006781-EVAL <br /> Page 3 of 3 <br /> v-w�^ .dycae. as "o. s .' 'Ir e.• s. +s '�'' �' ks' �- .n-- ,x2 �: - �" y,._s +°t: <br /> .. <br /> yp�T'M�UUU��. *SS SI �1��M� e pLri4r�}^� � .L ��,�Fg, .. �� � 4' j M'T{� yBf� #�{� ,� :-p-• � 3`tb'7.4.. <br /> ,r]!0T 0 E P T. S 1►l te.. a uat'Cl f 4'v" d � -r 7 ' <br /> W tk �eaclrlpUo.0,i'SgFOR FUT RESP RcI:L olr PP+ T 1 010 � * <br /> „b � <br /> ...s.. �:.s .,.,ts :� ,kt•�.. .-.r` .._°':kms _ �... .. '�'a�: .r� $. . ...- .,_ � ; <br /> THIS IS NOT YOUR PERMIT.A Construction/Installation permit is required before you construct your system. Please contact <br /> this office when you are ready to apply for a construction/installation permit.We cannot sign off on any Building Codes forms <br /> until we issue your permit. <br /> This site approval runs with the land and will automatically benefit subsequent owners.This site approval is valid until the <br /> approved system is constructed under a DEQ construction permit or unless the site is altered without approval from this office. <br /> Alterations/excavations/lot line adjustments made to the site,or placement of wells or utilities,etc.,may invalidate this approval <br /> If you disagree with the decision of this report,you may apply for a site evaluation report review. The application for a site <br /> evaluation report review must be submitted to DEQ in writing within 60 days after the site evaluation report issue date and must <br /> include the site evaluation review fee in OAR 340-071-0140 Table 9A. A senior DEQ staff person will be assigned the site <br /> evaluation report review application. <br /> You may apply for a variance to the onsite wastewater treatment system rules. The variance application must include a copy <br /> of the site evaluation report, plans and specifications for the proposed system,specify the rule(s)to which a variance is being <br /> requested,demonstrate the variance is warranted,and include the variance fee in OAR 340-071-140 Table 9C. A variance <br /> may only be granted if the variance officer determines that strict compliance with a rule is inappropriate or special physical <br /> conditions render strict compliance unreas••-• - • rdensome or impractical. A senior DEQ variance officer will be assigned <br /> the variance application. i <br /> bitbe#1141t 4 � - 11.4114, /0//t/i9 <br /> Kimberlee Aldrich Onsite Wastewater Specialist 2 10/16/19 <br /> CALL BEFORE YOU DIG...IT'S THE LAW <br /> ATTENTION:Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth by Oregon Administration Rules. You may obtain <br /> copies of the rules by calling the center.(Note:The telephone number for the Oregon Utility Notification Center is 1-80D-332-2344.) <br /> 10/16/19:1:35:01 PMI Page 3 of 3 ONS_OnsiteEvaluation_pr <br />